Morphological estimation of incomplete uterine scar rupture (dehiscence) in post- cesarean deliveries. Immunohistochemical studies

Ziętek, Maciej; Celewicz, Zbigniew

doi:10.5603/gp.2020.0115

Ginekol Pol

2020

DOI: 10.5603/gp.2020.0115

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Morphological estimation of incomplete uterine scar rupture (dehiscence) in post- cesarean deliveries. Immunohistochemical studies

Maciej Ziętek

Zbigniew Celewicz

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Cited by 2 publications

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Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report

Hruban,

Jouzova,

Janku

et al. 2023

BMC Pregnancy Childbirth

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Background Clinically silent uterine rupture with complete fetal expulsion into the abdominal cavity is an extremely rare complication. Diagnosis can be difficult and the risk to the mother and fetus is high. Conservative management has been described only in a few cases of partial expulsion of the fetus so far. Case presentation We present a case of 43-year-old tercigravida with a history of previous laparotomic myomectomy and subsequent cesarean section. The subsequent pregnancy was complicated by uterine wall loosening and rupture at the site of the previous uterine scar after myomectomy and complete fetal expulsion into the abdominal cavity. The diagnosis was made at 24 + 6 weeks of gestation. Considering the absence of clinical symptomatology and the good condition of the fetus, a conservative approach was chosen with intensive monitoring of the maternal and fetal conditions. The pregnancy ended by elective cesarean section and hysterectomy at 28 + 0 weeks of gestation. The postpartum course was uneventful and the newborn was discharged to home care 63 days after delivery. Conclusions Fetal expulsion into the abdominal cavity after silent uterine rupture of the scarred uterus may be accompanied by minimal symptomatology making early diagnosis difficult. This rare complication must be considered in the differential diagnosis in women after major uterine surgery. In selected cases and under conditions of intensive maternal and fetal monitoring, conservative management may be chosen to reduce the risks associated with prematurity.

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Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report

Hruban,

Jouzova,

Janku

et al. 2023

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

Clinical analysis of incomplete rupture of the uterus secondary to previous cesarean section

Yang,

Zhao,

et al. 2024

Open Medicine

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Uterine rupture is a rupture of the body or lower part of the uterus during pregnancy or delivery. Total of 98 cases with incomplete uterine rupture were classified as the incomplete uterine rupture group, 100 cases with a history of cesarean delivery without uterine rupture were classified as the non-ruptured uterus group, and controls were selected using a systematic sampling method. The maternal age ≥35 years were associated with 2.18 times higher odds of having an incomplete uterine rupture. The odd of having an incomplete uterine rupture was 3.744 times higher for a woman with delivery interval ≤36 months. Having pregnancy complication was associated with 3.961 times higher odds of having an incomplete uterine rupture. The neonatal weight was lighter in the incomplete uterine rupture group (P = 0.007). The number of preterm birth and transfer to the NICU were higher in the incomplete uterine rupture group (P ＜ 0.01). The operation time and the length of time in hospital were longer in the group with incomplete uterine rupture (P ＜ 0.01). Age ≥35 years, delivery interval ≤36 month, and pregnancy with complication were independent risk factors of incomplete rupture of the uterus secondary to previous cesarean section.

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Morphological estimation of incomplete uterine scar rupture (dehiscence) in post- cesarean deliveries. Immunohistochemical studies

Cited by 2 publications

References 34 publications

Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report

Conservative management of complete fetal expulsion into the abdominal cavity after silent uterine rupture - case report

Clinical analysis of incomplete rupture of the uterus secondary to previous cesarean section

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